MultiCare Good Samaritan Hospital
401 15th Avenue Southeast, Puyallup, WA · Multicare · · NPI 1841231461
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $1,586.95 – $34,831.50 | 14 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $3,969.53 – $61,628.63 | 14 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $80.00 | $200.00 | not published | 0 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $1,255.15 – $17,010.70 | 14 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $1,255.15 – $17,010.70 | 14 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $4,053.03 – $17,010.70 | 12 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,359.82 – $9,904.20 | 12 |
| Suction socket HCPCS L6686 | not published | not published | $791.24 – $3,516.67 | 12 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $518.86 – $2,306.06 | 12 |
| Sugars multiple quant CPT 84379 | $29.60 | $74.00 | $8.63 – $22.60 | 15 |
| Sugars single quant CPT 84378 | $29.60 | $74.00 | $8.63 – $22.60 | 15 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $9,786.12 | $24,465.30 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.25 | $0.62 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | $170.00 | $425.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $38.86 | $97.15 | not published | 0 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $3.92 – $5.23 | 3 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $16.49 – $224.76 | 14 |
| Supply of digital device HCPCS G0552 | not published | not published | $152.27 – $639.07 | 11 |
| Support clav 29.6-40.5in med HCPCS L3650 | $36.40 | $91.00 | $59.55 – $307.15 | 13 |
| Supprelin la implant HCPCS J9226 | not published | not published | $20,258.99 – $206,938.31 | 14 |
| Surg dx exam anorectal CPT 45990 | $5,546.80 | $13,867.00 | $1,045.71 – $13,323.79 | 15 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $2,085.40 – $16,920.72 | 14 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $2,429.81 – $34,831.50 | 14 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $2,213.64 – $34,831.50 | 14 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $4,956.46 – $34,831.50 | 14 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $8,299.08 – $34,831.50 | 12 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $3,047.58 – $25,737.83 | 14 |
| Surgical opening esophagus CPT 43351 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Surgical opening esophagus CPT 43352 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $1,037.34 – $4,353.73 | 14 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $652.16 – $7,447.96 | 14 |
| Surgical pathology level 1 gross examination only CPT 88300 | $78.00 | $195.00 | $15.70 – $138.82 | 15 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $84.00 | $210.00 | $15.70 – $179.28 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $158.00 | $395.00 | $15.70 – $250.15 | 15 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $167.60 | $419.00 | $28.69 – $250.15 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $394.40 | $986.00 | $28.69 – $1,720.62 | 15 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $518.00 | $1,295.00 | $28.69 – $3,867.44 | 15 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Surgical revision intestine CPT 44680 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $142.33 – $597.36 | 10 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,045.71 – $13,323.79 | 14 |
| Susceptibility agar dilution per agent CPT 87181 | $12.40 | $31.00 | $4.66 – $9.31 | 15 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $12.00 | $30.00 | $4.66 – $9.31 | 15 |
| Susceptibility mic per plate CPT 87186 | $22.00 | $55.00 | $5.12 – $16.95 | 15 |
| Suscept studies macrobroth dilution ea CPT 87188 | $17.60 | $44.00 | $5.12 – $13.01 | 15 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Suspension of testis CPT 54620 | not published | not published | $1,461.60 – $16,920.72 | 14 |
| Suspension of uterus CPT 58410 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Suspension sleeve lower ext HCPCS L2397 | $75.60 | $189.00 | $127.22 – $656.12 | 13 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Svc venogram s&i CPT 75827 | $2,773.20 | $6,933.00 | $598.07 – $7,556.28 | 15 |
| Sweat collection by iontophoresis CPT 89230 | $94.40 | $236.00 | $20.49 – $250.15 | 15 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,916.09 – $12,960.53 | 12 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $4,256.96 – $18,920.03 | 12 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $374.10 – $1,662.68 | 12 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $419.72 – $1,865.47 | 12 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $352.32 – $1,565.91 | 12 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $602.73 – $2,678.83 | 12 |
| Sympathectomy cervical CPT 64802 | not published | not published | $976.42 – $9,373.54 | 14 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $976.42 – $9,373.54 | 14 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $976.42 – $15,706.36 | 14 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $9.64 – $61.35 | 3 |
| Synthetic sentence id test CPT 92576 | not published | not published | $42.72 – $179.28 | 12 |
| Synvisc or synvisc-one HCPCS J7325 | $12.40 | $31.00 | $6.82 – $44.68 | 13 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $11.20 | $28.00 | $4.31 – $8.62 | 15 |
| System cardiomems hosp electronics HCPCS C2624 | $165,516.80 | $413,792.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $21,574.40 | $53,936.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $8,168.00 | $20,420.00 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $991.60 | $2,479.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $22.40 | $56.00 | $8.93 – $33.20 | 15 |
| T3 (triiodothyronine) total CPT 84480 | $35.20 | $88.00 | $8.93 – $27.79 | 15 |
| T4 (thyroxine) free CPT 84439 | $22.00 | $55.00 | $8.84 – $17.68 | 15 |
| T4 (thyroxine) total CPT 84436 | $17.20 | $43.00 | $6.73 – $13.47 | 15 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $9.80 | $24.50 | not published | 0 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $113.26 – $1,083.05 | 14 |
| Tacrolimus therapeutic drug level CPT 80197 | $34.00 | $85.00 | $7.45 – $26.91 | 15 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.88 – $3,428.99 | 13 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $72.46 – $4,545.55 | 14 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $73.38 – $4,545.55 | 13 |
| Talymed HCPCS Q4127 | not published | not published | $142.33 – $597.36 | 10 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $309.03 – $333.75 | 5 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $309.03 – $333.75 | 5 |
| Target gsa panel hmtlmph neop CPT 81450 | $928.00 | $2,320.00 | $286.81 – $1,488.68 | 15 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,518.00 | $8,795.00 | $286.81 – $5,722.42 | 15 |
| Target gsa panel organ neop CPT 81445 | $823.20 | $2,058.00 | $286.81 – $1,171.90 | 15 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.